This Phase 3, multicenter, open-label study of chronic, intermittent use of study drug (DBF) is designed to evaluate the safety and tolerability of the buccal formulation of diazepam in children, adolescents and adults with intermittent, stereotypic episodes of frequent seizure activity (eg, seizure clusters) that are distinct from the subject's usual seizure pattern.
The Primary objective of the study is to assess the safety and tolerability of DBF (study drug) administered a minimum of 3 times to subjects with epilepsy for the treatment of seizures over a minimum 6-month period. Secondary objectives: * To evaluate the usability of study drug as assessed by the ability of caregivers/subjects to administer study drug based on the Instructions for Use (IFU). * To evaluate the Quality of Life (QoL) of the subjects during the study drug treatment period as assessed by use of age-appropriate epilepsy scales over a minimum 6-month period.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
149
The subjects in this study administered DBF themselves or with the help of a caregiver, (trained by the study site staff in study drug administration and documentation) in the same setting as they typically used the diazepam rectal gel or other rescue medication, without the presence of study staff.
Hawaii Neuroscience Center
Honolulu, Hawaii, United States
Consultants in Epilepsy and Neurology, PLLC
Boise, Idaho, United States
Clinical Research Center of New Jersey (CRCNJ)
Voorhees Township, New Jersey, United States
OnSite Clinical Solutions LLC
Charlotte, North Carolina, United States
Number of Subjects in the Safety Analysis Set With at Least 1 Treatment-emergent Adverse Event (TEAE)
A TEAE was defined as any adverse event with onset date on the day of or after administration of study drug including relationship and severity.
Time frame: Adverse events (AEs) were recorded from Day 1 through the last study contact (Month 7 telephone contact).
Number of Subjects in Safety Analysis Set With Adverse Events of Special Interest (AESI)
A.Oral irritation related AEs including but not limited to: buccal mucosal swelling, mouth ulceration, injuries to oral cavity (such as tongue or mucosal laceration, broken tooth, bleeding), erythema, stomatitis, gingivitis, xerostomia, staining, dysphagia, dysgeusia, burning, stinging, tingling. B. Abuse related AEs including euphoria, euphoric mood, feeling of relaxation, anger, dissociative effects, hallucinations, psychosis, changes in mood, impaired cognition, attention, psychomotor effects, inappropriate affect, overdose, and misuse. C. Other: Respiratory disorders, nervous system disorders
Time frame: AESIs were recorded from Day 1 through the last study contact (Month 7 telephone contact).
Usability Assessment: Number of Use Occasions Where Difficulty in Opening the Outer Packaging Was Recorded.
For each use occasion the following question was asked: Did you have difficulty in opening the outer plastic packaging on this use occasion? Yes
Time frame: Recorded in an electronic diary after each use of study drug, throughout the course of the study; approximately 6 months
Usability Assessment: Ability to Open Foil Pouch on Each Use Occasion
For each use occasion the following question was asked: Did you have difficulty in opening the foil pouch on this use occasion? Yes or No
Time frame: Recorded in an electronic diary after each use of study drug, throughout the course of the study; approximately 6 months
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Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, United States
Austin Epilepsy Care Center
Austin, Texas, United States
Usability Assessment: Ability to Remove Study Drug From Foil Pouch on Each Use Occasion
For each use occasion the following question was asked: Did you have difficulty in removing study drug from foil pouch on this occasion? Yes or No
Time frame: Recorded in an electronic diary after each use of study drug, throughout the course of the study; approximately 6 months
Number of Occasions With Successful Insertion/Retention in Cheek
Of the total number of use occasions over the course of the study, the number of use occasions that were successfully inserted/retained in the cheek
Time frame: Recorded in an electronic diary after each use of study drug, throughout the course of the study; approximately 6 months
Usability Assessment: Difficulty Inserting DBF Against the Buccal Mucosa (Number of Attempts to Insert Film for Each Use Occasion)
Number of occasions where it took 1 attempt to insert film, Number of occasions where it took 2 attempts to insert film, Number of occasions where it took 3 attempts to insert film, Number of occasions where it took \>3 attempts to insert film
Time frame: Recorded in an electronic diary after each use of study drug, throughout the course of the study; approximately 6 months
Usability Assessment: Number of Occasions Where DBF Was Not Placed or Retained on the Inner Cheek Until Dissolution
Number of occasions where the study drug was not successfully placed and or retained in cheek until the film fully dissolved.
Time frame: Recorded in an electronic diary after each use of study drug, throughout the course of the study; approximately 6 months
Usability Assessment: Reasons for Multiple Placement/Insertion Attempts During a Use Occasion
Reasons for multiple attempts at insertion Multiple choice answer was: Excessive drooling, Clenching jaw / Won't open mouth, Spit out before sticking, Other/None of the above
Time frame: Recorded in an electronic diary after each use of study drug, throughout the course of the study; approximately 6 months